ICC

Question 1

blood test to help Dx

Answer 1

BNP or proBNP

brain natriuretic peptide

Question 2

Best Dx test for ICC

Answer 2

2d Echo

Question 3

what’r u gonna see at the 2d Echo

Answer 3

EF
PAP. pulmonary artery pressure
Diastolic function

Question 4

why would you use a Left heart cath. Angiogram on an ICC

Answer 4

to determine whether it’s ischemic or not

Question 5

Cassification of ICC according EF

Answer 5

55% =normal
<50 systolic dysfunction
>=55% dyastolic dysfunction

Question 6

Non-pharmacological non Qx mgmt of ICC (measures)

Answer 6

Restrict H2O <2L/d
NaCl <2g/d
Smoke sesation

Question 7

How to manage a CHF exacerbation

Answer 7

1st determine the cause (EKG, CXR, BNP to confirm volume overload. TropoI)
if any of those is +ve treat those causes.
Regular CHF Exacerbations are trear w LMNOP

Question 8

LMNOP

Answer 8

lasiz
morphone
nitrates
oxygen n 
possition

Question 9

ICC treatment

Answer 9

add each
I: BB+ACEi/ ARB
II: Furosemide
III: Spironolactone/ BiDil (Isosorbide dinitrate/hydralazine)
IV: inotropes, dobutamine, LFAD, amiodarone, heart transplant
ASA+ statin if ischemic

Question 10

ICC management if EF<35

Answer 10

AICD